Venice Newbury Medical Clinic | |
3701 Stocker St Suite 100 Los Angeles CA 90008-5108 | |
(323) 290-6400 | |
(323) 290-6403 |
Full Name | Venice Newbury Medical Clinic |
---|---|
Speciality | Family Medicine |
Location | 3701 Stocker St, Los Angeles, California |
Authorized Official Name and Position | Cuthbert Weston Pyne (PHYSICIAN) |
Authorized Official Contact | 3232906400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Venice Newbury Medical Clinic Po Box 45407 Los Angeles CA 90045-0407 Ph: (323) 290-6400 | Venice Newbury Medical Clinic 3701 Stocker St Suite 100 Los Angeles CA 90008-5108 Ph: (323) 290-6400 |
NPI Number | 1538351432 |
---|---|
Provider Enumeration Date | 08/14/2007 |
Last Update Date | 11/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538351432 | NPI | - | NPPES |
ZZZ01166Z | Other | CA | BLUE SHIELD |
00A299581 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A29958 (California) | Primary |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |